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Utilization Patterns and Determinants of Oriental Medical Services : Focused on the Residents of Taegu City (한방의료의 이용행태 및 이용결정요인 분석 - 일부 대도시 지역주민을 중심으로 -)

  • Yoo Wang-Keun;Ryu Kyung-A
    • Journal of Society of Preventive Korean Medicine
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    • v.4 no.2
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    • pp.1-24
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    • 2000
  • This study was conducted to examine utilization patterns and determinants of oriental medical services. Data were collected from 545 residents in Taegu city The results of this study are summarized as follows 1) 37.8% of subjects used oriental medical services in the past year. Especially, the female, the ages of 50 and 60 over, the single. low-educated. high-income class, white-collar class, medical insured tended to use more oriental medical services than another groups. 2) 46.7% of users of oriental medical services reported that number of visits in the past year was 2 - 5 times 37 1% of them was 1 times, and 4.5% over 10 times. 3) According to the reasons to choose the oriental medical facilities, most was 'on their own judgement'(48.8%) and 'by the advice of relatives and friends'(42.0%) Regarding to the objectives of using oriental medicine, 68.3% was 'treatment', 31.7% 'health counselling and promotion'. And among diseases of users, diseases of musculo-skeletal system was the highest(54.5%). 4) 57.9% of oriental medical services users had experience of utilizing western medicine on the same diseases. Among peoples with experiencing western medicine on the same diseases. 54.4% received oriental medical services 'in addition to western medicine', 45.6%'in place of western medicine 'And 41.2% of using both services reported that they had difficulty in deciding to choose the type of services -oriental medical services or western medicine-for their diseases. 37.3% of them answered that 'providing relevant information' was the most desirable measure to solve this problem, 27.3% 'establishment of effective referral system between oriental and western medical facilities '23.6% 'cooperative medical treatment systems in the same facilities', 11.8%'integration of oriental medicine into western medicine 5) According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. 6) In regarding to the priority of improvement of oriental medical system,'expansion of insurance benefit package 'ranked first. 'expansion of insurance benefit Package 'ranked second, 'improvement of scientific methods and diagnostic technique 'third, and 'safety of herbal medicine' fourth in order. 7) The significant factors influencing the utilization of oriental medical services were kindness of oriental medical practitioners, efficacy , travel time, age To be brief, utilization rate of oriental medical services in urban area generally tends to be high. There, however, have been various barriers to limit oriental medical services, such as incomplete benefit package of oriental medical insurance and lack of coordination and referral system between oriental and western medical services, lack of scientific diagnostic procedures, high price etc . For the development of oriental medical services, Much attention to remove these limiting factors should be placed. In addition, kindness of oriental medical practitioners , which is expected to be more important factor in the consumer - focused health care environment than ever, should be kept high consistently. Since this study was conducted for specific residents of an urban city. further research including more sampling in different urban areas should be required to generalize the results of the study.

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A Bibliographical Study on JeongSa-Gongsin-Nokgwon (『정사공신녹권(定社功臣錄券)』의 서지적(書誌的) 연구(硏究))

  • Jin, Na-Young;Song, Il-Gie
    • Journal of the Korean Society for Library and Information Science
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    • v.47 no.3
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    • pp.227-250
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    • 2013
  • Jeongsa-gongshin-nokgwon (定社功臣錄券) is a document issued during the reign of King Taejong. The king appointed the vassals of merit who suppressed the First Rebel of Prince in 1398 as Jeongsa-gongshin (定社功臣) and gave them titles and rewards as described in the Jeongsa-gongshin-nokgwon document. This study explores the reasons and process of the rewards given to the vassals by way of the existing copy of Jeongsa-gongshin-nokgwon. The form and organization of the document were analyzed in detail. The titles given to the vassals were classified into each grade and their characteristics were sought. The content of the document was also analyzed in detail. The result of the study suggested the following. Jeongsa-gongshin-nokgwon is a manuscript and it consists of 3 parts: introduction (卷首), main text (本文), and ending (卷末). Names and titles given to 29 vassals of merit are listed of which 12 vassals were first grade and 17 vassals were second grade. The ranks of first-grade vassals of merit were higher than the ranks of second-grade vassals of merit. In the first-grade vassals of merit, there were relatively more relatives of the king. The rewards and privileges given to them were different, depending on their grade. The content of regulation was also different within the same grade, depending on the person. The formation and names of government officers, who worked in the temporary office in charge of rewards to the vassals of merit (Gongshin-dogam, 功臣都監), were verified by the approval signatures and last names found in Jeongsa-gongshin-nokgwon.

A Study on the Eating Out Behavior of University Students in Seoul (서울시내 대학생의 외식행동에 관한 조사 연구)

  • Chung, Chin-Eun;Kim, Hee-Sun
    • Journal of the Korean Society of Food Culture
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    • v.16 no.2
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    • pp.147-157
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    • 2001
  • In order to investigate the eating out behavior of university students, this survey was conducted using the questionaires for 710 students(369 male, 341 female) from 11 universities in Seoul. It was revealed that 39.4% of the subjects spent $60,000{\sim}100,000$ won for monthly eating out cost and 57.8% of them ate out more than once a day. Most of them expended less than 3,500 won for lunch, while 36.5% of them spent $4,000 {\sim}5,000$ won for dinner. Dinner was regarded more important than lunch. Korean foods were the most preferred menu for eating out with friends and fast foods were the second. But Boonsik(snack bar foods), Chinese foods and Japanease foods were rarely selected. Frequency of selecting fast foods was 8 times greater than that of Boonsik. This indicates that the preference of western flavor and the pursuit of convenience is getting more obvious. While dating, western foods were preferred, followed by Korean foods, fast foods. The 80 kinds of foods were reported as favored eating out foods. Although 50 among 80 were Korean foods, the rest of them were Koreanized foreign foods most of those were western style. This may suggest that when the students become adults, they will be much fond of western dish for their dinning out. This tendency of preferring western flavor were much apparent in foods for dinner compared with lunch. In both sexes, the standard of food choice was in the order of taste, price, mood, hygiene, service and brand name. But male students were more conscious of price and service while female students were more concerned about taste and hygiene. Most unsatisfying feature in restaurant was unstable atmosphere for both sexes. Taste was the most important sensory factor in selecting the foods, followed by appearance, smell and texture. Major source of restaurant information was recommendation by friends or relatives. But the use of internet or magazine was negligible. Female students had more positive attitude, compared with male students, in using restaurant information and pursuing eating out for gourmet. The dining out menu of which price ranges about $3,000{\sim}5,000$ won could be preferable foods for most people. Therefore, instead of blaming them for eating too much fast foods, new menus which fit the food preference and affordability of the students should be developed.

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Study on Poverty of the Middle Aged Men Living in Chokbang Area (쪽방거주 중고령 남성의 빈곤 사례연구)

  • Kim, Dong-Seon;Mo, Seon-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.222-235
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    • 2020
  • This study examines the poverty progress and its factors which drove the lives of the middle-aged men in Chokbang area. The observed examples are the retired government officials and the self-employed who have been classified as the ones in the economically-middle class but currently as the welfare recipients. According to the results of in-depth interview and observation, the poverty of the observed has undergone the progress of trigger, worsening, breakup, desperation and stabilizing stages. The poverty factors found in this study could be categorized into two factors; circumstantial factors(bankruptcy after IMF, debt guarantee for relatives) and inner factors(the participants' behavior and characteristics). The circumstantial factors worked mainly in the trigger stage and the inner factors contributed to worsening economic crisis and facilitating the progress. According to the result, this study suggests not only individual-scale measures such as encouragement of familial bond or medical treatment of the alcoholism but also social measures including proper regulation of shark loan and opportunity supply to exit from poverty.

The Study on the Incidence of Breast feeding and Related Factors (모유수유 실태와 관련요인에 관한 연구)

  • Choi, Sang-Doon;Lee, Eun-Hee;Youn, Kying-Hee;Sin, Bok-Kyung;Choi, Nam-Hee
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.253-269
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    • 1996
  • This descriptive study was done to investigate the proportion of mothers breast feeding and identify factors which influence breast feeding. The subjects were 320 mother who child under five years of age, living in WonJu and their children who numbered 530. Data collection was conducted at various places in the WonJu area using survey questionnaire. The results were as follows : 1. The proportion of children receiving breast feeding was 23.3%, mixed feeding 31.7%, milk feeding 45.1%. The most frequent duration for breast feeding was one month, the mean duration was six months. 2. The major reasons for breast feeding were for the health of the child 52.5%, for emotional attachment with the child 34.2%, and as the expected way of feeding 29.5%. 3. The major reasons for interrupting breast feeding were jobs 26.1%, illness of the child or mother 16.1% abnormality of the breast of nipple 12.7% others 31%. 4. The major reasons for quitting breast feeding were insufficient breast milk 34.5%, job 19.6%, diarrhea in the child 9.9%. 5. The factors influencing breast feeding were educational status and the presence of a job. 6. The husband's attitude to breast feeding was very positive 82.3% and the subjects were supported by their mothers and husbands. But the major information sources about breast feeding were the mass media 30.4% and relatives 22.0%. 7. The breast feeding mother reported experiencing positive and satisfactory feelings, but the milk feeding mother reported experiencing negative and guilt feelings. Also the breast feeding mothers perceived their children as very healthy with a stable emotional status. The results showed the breast feeding ratio in WonJu to be very low and problematic and the subject mothers strongly need information about breast feeding and support while breast feeding. Therefore it is recommended that an education program for community women and other people, like husbands, and grandmothers, be developed along with an education program for university students and other young people to provide them with preparatory information as they begin to think about marriage and families.

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Impact of a Sense of Social Exclusion on Will to Escape Poverty in Needy Single Mothers: with Priority Given to the Mediating Effects of Social Support (한부모 빈곤여성의 사회적 배제감이 탈빈곤 의지에 미치는 영향 -사회적 지지의 매개효과를 중심으로-)

  • Lee, Hwa-Myung;Jeong, Weon-Cheol
    • The Journal of the Korea Contents Association
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    • v.16 no.5
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    • pp.760-771
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    • 2016
  • The purpose of this study was to examine whether social support produced any mediating effects when needy single mothers' sense of social exclusion affected their own will to escape poverty. The subjects in this study were 376 poor single mothers who resided in the cities of Busan, Gimhae and Yangsan and who were in their 20s to 60s. The findings of the study were as follows: First, the single mothers who lived in poverty were given less social support when they felt more excluded in the dimensions of health, relationships, production, consumption, political participation and housing. Second, the needy single mothers had a more will to escape poverty when more social support was provided and less will to escape poverty when they felt more excluded in the dimensions of health, relationships, production, consumption, political participation and housing. Third, social support produced mediating effects when social exclusion affected the will to escape poverty. The findings of the study suggest that in order to relieve needy single mothers' sense of social exclusion and bolster their will to escape poverty, formal social support from the nation and local community and informal social support from neighbors, friends and relatives should both be strengthened.

Needs for Hospice Care among Families of Children with Cancer for Outpatients (외래통원 암 환아 가족의 아동호스피스요구)

  • Chung, Young-Soon;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.4
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    • pp.1706-1713
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    • 2012
  • The purpose of this study was to analyze the need for child hospice care in families of children with cancer for outpatient. The participants were 83 parents of children with cancer. This survey was conducted from January 2011 to March 2011 at four hospitals in Daegu. Data were collected through self-report questionnaires and analyzed by descriptive statistics, t-test and ANOVA using the SPSS/WIN Program. Needs for hospice care for the participants were high. The need for "emotional care of children" showed the highest, "control of secondary physical problems", "acceptance of the family's difficulty", "management for terminal physical symptoms", "spiritual care for preparing for death". With respect on the demographic characteristics of the participants, there were statistically significant differences in hospice care needs, among to the religion, sibling, relatives, whether of the cancer. The above findings indicate that needs for hospice care for the participants were high about emotional care, especially as it is related to children's anxiety. Therefore hospice care, based on emotional part, should be provided systematic hospice care with specialized multidisciplinary child hospice care team, child hospice center.

A study on the perception of nutrition labeling among high school boys based on their weight (서울지역 일부 남자 고등학생의 비만도 수준에 따른 영양표시에 대한 인지조사)

  • Eo, Hyo-Seon;Lee, Jung-Sug;Min, Hee-Eun;Hong, Hee-Ok
    • Journal of Nutrition and Health
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    • v.45 no.2
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    • pp.150-158
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    • 2012
  • This study was conducted to investigate the relationship between knowledge of nutrition labeling and the effect on eating habits with 300 high school boys in Seoul. The subjects were divided into an underweight (UW) group (BMI < $18.5kg/m^2$, n = 42), a normal weight (NW) group ($18.5kg/m^2\;{\leq}\;BMI\;<\;23kg/m^2$, n = 129) and an overweight (OW) group (BMI ${\geq}\;23kg/m^2$, n = 79) based on their body mass index (BMI). The average age of participants was 17.8 years old and their mean height and weight were 174.9 cm and 66.5 kg. The mean BMI of subjects was $21.7kg/m^2$ which fell within the normal range. Seventy six point four percent of subjects perceived nutrition labeling and they acquired the information pertaining to it through TV and internet. The UW group and the OW group obtained it from their parents, relatives and friends, while NW group acquired it from school. There were significant differences among groups in the acquired source of the information on nutrition labeling (p < 0.05). The NW group and the OW group trusted nutrition labeling more than the UW group, but there were no significant differences among them. Forty five point five percent of the UW group and 40.7% the NW group were satisfied with nutrition labeling education, while only 15.8% of the OW group did it. The OW group checked nutrition labeling more than the UW group and the NW group at the point of food purchase. The primary reason for examining nutrition labeling was 'to check nutrient contents' in the UW group and the NW group, while the OW group examined it to improve health including regulation of body weight. There were significant differences among groups with regards to the reason for examining nutrition labeling (p < 0.001). The OW group was aware that nutrition labeling affected their eating ha-bits significantly more than the other groups (p < 0.05). Therefore, application-centered education on nutrition labeling and the strong support of the government is needed in order to improve nutrition labeling use and to apply the information from nutrition labeling into student dietary life.

Factors Related Self-Care Behavior among Liver Cirrhosis Patients: Focusing on Disease Knowledge and Family Support (간경변증 환자의 자가간호 행동 관련 요인: 질병 지식과 가족지지를 중심으로)

  • Park, HaeJin;Shin, Yeonghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.647-656
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    • 2017
  • This study examined the associations among the factors related to self-care behavior in patients with liver cirrhosis, focusing on disease knowledge and family support. The subjects were 120 liver cirrhosis patients recruited from the medical out-patient clinic of ageneral hospital in the U metropolitan city during the period of June-August, 2015. The data were analyzed with SPSS(Version 21) program. The results showed that the average scores of disease knowledge was $12.64{\pm}2.16$ out of 18; family support was $23.28{\pm}5.68$ out of 32; and self-care behavior was $35.66{\pm}8.67$ out of 60. The study subjects had moderate levels of disease knowledge and family support, but low levels of self-care behavior. The data showedthat self-care behavior was positively correlated with disease knowledge (r=0.675, p<0.001) and family support (r=0.804, p<0.001) of the subjects. The best predictors for self-care behavior were family support, disease knowledge, frequency of alcohol consumption per week, having liver cirrhosis patients among family or relatives, and educational level, which accounted for 69.7% of the variance. In conclusion, promoting the self-care behavior of liver cirrhosis patients should be planned based on a consideration of the patient's educational level, knowledge of their own disease, and family support.

A taxonomical review of Solidago japonica and its relatives (Asteraceae) (미역취 및 근연분류군(국화과)의 분류학적 재검토)

  • Jang, Chang-Seok;Yang, Sun-Gyu;Oh, Byoung-Un
    • Korean Journal of Plant Taxonomy
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    • v.42 no.1
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    • pp.40-49
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    • 2012
  • The NE Asiatic Solidago virgaurea complex in Korea has been reported on 5 taxa (S. virgaurea subsp. asiatica, S. virgaurea var. taquetii, S. virgaurea var. coreana, S. virgaurea subsp. leiocarpa, and S. virgaurea subsp. gigantea). However, the broad morphological variations and a lack of diagnostic characteristics have made it difficult to distinguish these taxa and have thus resulted in a complicated taxonomy in the complex. Therefore, to clarify the classification and delimitation of each taxon, the morphological characteristics of the S. virgaurea complex were investigated by examining the original descriptions and type specimens. Field work was also conducted to investigate the morphological and geographic features. In conclusion, S. japonica Kitam., as a legitimate name, was distributed all over the country except for the Is. Ulleung-do in Korea, as distinguished from S. virgaurea L. Both S. virgaurea var. taquetii and S. virgaurea var. coreana were considered as synonyms of S. japonica, as their morphological characteristics were within the variation range of those of S. japonica. Furthermore, S. virgaurea subsp. leiocarpa does not occur in Korea. Additional investigations are required to clarify the classification of S. virgaurea subsp. gigantea, whose populations were not found during the investigation in this study. S. dahurica, meanwhile, was distributed in the northern part of North Korea.